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Case Studies | Medical Science | India | Volume 12 Issue 10, October 2023
Case Report: A Rare Case of Hepatocellular Carcinoma with Extensive Peliotic Change Mimicking Hemangioma
Ravi Shankar B [6] | TLVD Prasad Babu | Milap Shah [4] | Pavan Kumar PB | Jaideep Netha
Abstract: Peliosis hepatis, is a hepatic lesion characterized by blood - filled parenchymal cavities randomly scattered throughout the liver, was first described by Wagner (1). Although peliosis has been observed in liver parenchyma in association with several diseases and medications, peliosis hepatis - like blood - filled cavities are also observed with hepatocellular carcinoma (HCC). HCCs with extensive peliotic change do not have typical enhancement pattern of HCC and may mimic Hemangioma. This is a case report of 81year old man with history of weight loss, reduced appetite and weakness and a large space occupying lesion in left lobe of liver on Ultrasound abdomen. Triphasic CECT and MRI showed atypical filling pattern and was similar to Cavernous Hemangioma. Laparoscopic left lateral sectionectomy was done and histopathology of the specimen revealed well differentiated HCC with extensive peliotic change.
Keywords: HCC, Cirrhosis, Hepatoma, Alpha - fetoprotein, Liver SOL
Edition: Volume 12 Issue 10, October 2023,
Pages: 1407 - 1410